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NPI Code Detail

MEDICARE: DONALD ORLAN RN

MEDICARE: DONALD ORLAN RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse61314454WA
2163W00000XRegistered Nurse74689NV
3163W00000XRegistered Nurse95262843CA

General Provider Information

NPI Number : 1124553755
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD ORLAN RN
Provider Business Mailing Address
First Line : 10716 WINDROSE POINT AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-5423
Country : US
Telephone Number : 702-358-6246
Fax Number :
Provider Business Practice Location Address
First Line : 10716 WINDROSE POINT AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-5423
Country : US
Telephone Number : 702-358-6246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2017
Last Update Date : 11/21/2023

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